Vascular Complications After Renal Transplantation

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As the inferior pole artery might also nourish the ureter, it is more difficult to sacrifice, and because of the area it nourishes there is the potential for ureterovesical.
4 Vascular Complications After Renal Transplantation Taylan Ozgur Sezer and Cuneyt Hoscoskun Department of General Surgery and Transplantation Unit, Ege University School of Medicine, Izmir, Turkey 1. Introduction Renal transplantation has become the treatment of choice for end-stage renal disease due to advances in surgical techniques, perioperative management, and immunosuppressive regimens. Surgical techniques for kidney transplantation were first described in 1951 by Kuss et al. and have since changed very little. The most common surgical procedure is extraperitoneal transplantation in the right iliac fossa, with end-to-side to the external iliac artery or end-to-end anastomosis to the internal iliac artery, and end-to-side anastomosis to the external iliac vein. The overall incidence of vascular complications following kidney transplantation is low, especially when compared to other solid organ transplantation of such organs as the liver or pancreas. The incidence of vascular complications following renal transplantation ranges from 3% to 15%.1 Arterial complications occur more frequently and are more dangerous than venous. Both arterial and venous thromboses tend to occur within the first few days of transplantation. Improvements in immunosuppressive therapy have led to a 1-year post transplantation acute rejection incidence rate of 3 mm), and used as a single anastomosis in the recipient (Figure 1a). The smaller graft artery can be anastomosed end-to-side to the larger one (Figure 1b). Alternately, there can be 2 separate anastomoses performed on the internal iliac and external iliac arteries (Figure 1c). Superior pole arteries with a diameter